The Relationship Between Controlling Nutritional Assessment Score and Mortality in Patients with Chronic Coronary Syndrome: A Retrospective Study from Türkiye.

IF 0.7 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Nigerian Journal of Clinical Practice Pub Date : 2024-05-01 Epub Date: 2024-05-29 DOI:10.4103/njcp.njcp_769_23

M M Tiryaki, S V Emren, M O Gursoy, T Kiris, F Esin, S Esen, M Karaca, C Nazli

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引用次数: 0

Abstract

Background: Controlling Nutritional Assessment (CONUT) score has been shown to have a higher predictive value compared to other nutritional scores in acute coronary syndrome.

Aim: To determine the relationship between CONUT score and long-term mortality in patients with chronic coronary syndrome (CCS).

Methods: Between 2017 and 2020, 585 consecutive patients newly diagnosed and proven to have CCS by coronary angiography were included in the study. CONUT score and demographic and laboratory data of all patients were evaluated. The relationship between results and mortality was evaluated.

Results: The mean age of the patients was 64 years and 75% were male. Mortality was observed in 56 (9.6%) patients after a median follow-up period of 3.5 years. The median CONUT score was significantly higher in patients with mortality (P < 0.001). In multivariate regression analysis, the CONUT score was associated with mortality (Hazard ratio (HR): 1.63 (95% confidence interval (CI): 1.34-1.98 P < 0.001)). The area under curve (AUC) for long-term mortality estimation for the CONUT score was 0.75 (95% CI 0.67-0.82 P < 0.001). When the CONUT score value was accepted as 0.5, the sensitivity was 78% and the specificity was 60.

Conclusion: CONUT score was found to be predictive of mortality in long-term follow-up of patients with CCS.

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慢性冠状动脉综合征患者营养评估分数控制与死亡率之间的关系：土耳其的一项回顾性研究。

背景：与其他营养评分相比，控制营养评估（CONUT）评分对急性冠状动脉综合征具有更高的预测价值。目的：确定慢性冠状动脉综合征（CCS）患者的CONUT评分与长期死亡率之间的关系：2017年至2020年间，研究纳入了连续585名新诊断并经冠状动脉造影证实患有慢性冠状动脉综合征的患者。对所有患者的 CONUT 评分、人口统计学和实验室数据进行了评估。评估结果与死亡率之间的关系：患者平均年龄为 64 岁，75% 为男性。中位随访期为 3.5 年，56 名患者（9.6%）死亡。死亡患者的 CONUT 评分中位数明显更高（P < 0.001）。在多变量回归分析中，CONUT 评分与死亡率相关（危险比 (HR)：1.63（95% 置信区间 (CI)：1.34-1.98，P < 0.001））。CONUT 评分的长期死亡率估计曲线下面积 (AUC) 为 0.75 (95% CI 0.67-0.82 P < 0.001)。当 CONUT 评分值为 0.5 时，灵敏度为 78%，特异度为 60.结论：结论：在对 CCS 患者的长期随访中发现，CONUT 评分可预测死亡率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nigerian Journal of Clinical Practice MEDICINE, GENERAL & INTERNAL-

CiteScore

1.40

自引率

0.00%

发文量

275

审稿时长

4-8 weeks

期刊介绍： The Nigerian Journal of Clinical Practice is a Monthly peer-reviewed international journal published by the Medical and Dental Consultants’ Association of Nigeria. The journal’s full text is available online at www.njcponline.com. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal makes a token charge for submission, processing and publication of manuscripts including color reproduction of photographs.